2014 protocols aemt. airway management needle decompression of tension ptx not just for trauma

2014 ProtocolsAEMT

Airway Management

• Needle decompression of tension PTX

• Not just for trauma

Airway Management Comparison

Asthma/COPD

• May administer up to three doses of albuterol via nebulizer

Asthma Comparison

Suspected Smoke Inhalation

• Changes:– Up to three doses of

nebulized albuterol may be given as needed

Suspected Smoke Inhalation Comparison

Allergic Reaction/Anaphylaxis

• Changes:– May administer albuterol

if patient is wheezing

Allergic Reaction Comparison

Diabetic Emergencies

• IV Dextrose (D50) 25g can be given (D25 for peds)

• If no IV access, consider IM glucagon 1mg (0.5mg in peds < 20kg)

• Magic number is BG < 80

Diabetic Emergencies Comparison

Overdose or Toxic Exposure

• Naloxone (Narcan) may be given IV, SQ, IM, IO or IN for opioid overdose

• Dose is 0.4mg for IV, 2mg for other routes

• Max is always 2mg

Overdose

Chest Pain

• Nitroglycerin may be given if SBP > 100

• Give 0.4mg SL every five minutes up to three doses total

Cardiac Arrest - Adult

• IV/IO epi 1:10,000 1mg every 3-5 minutes

Chest Trauma

• Needle decompression if s/s of tension ptx

• Patient does NOT need to be in cardiac arrest

• Fluids if needed

Head Trauma

• D50 or glucagon if BG < 60

• Different BG threshold than for diabetic emergencies